Jennifer Krok
Chicopee,MA
Summary
Accomplished Senior Claims Specialist showcasing expertise in claims management and insurance policy knowledge. Demonstrated ability to maintain compliance, manage complex cases, and develop key partnerships, enhancing client satisfaction. Skilled in investigative abilities, adept at handling high-stress customer interactions and providing clear expectations through both verbal and written communications.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Senior Claims Specialist
Guardian Life Insurance Company
01.2013 - Current
- Maintained compliance with regulatory requirements through diligent documentation of all claim activities.
- Managed caseload of complex claims, ensuring timely settlements and maintaining client satisfaction.
- Developed strong relationships with external partners such as healthcare providers and attorneys to facilitate effective claim handling processes.
- Assisted claimants throughout entire submission process, guiding them regarding proper requirements needed substantiate requests while also clarifying expectations through both written and verbal communications.
- Mitigated potential losses by identifying fraudulent claims.
- Mentor new team members with a focus on improving their investigative and written communication skills.
Customer Service Representative
MassMutual Financial Group
08.2008 - 01.2013
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
Bachelor of Arts - Communications
Westfield State University
Westfield, MA 06.2008
Associate of Arts - Liberal Arts
Holyoke Community College
Holyoke, MA 06.2006
Skills
Claims Management Expertise
Insurance policy knowledge
Investigative abilities
Certification
Associate Life and Health Claims Designation (ALHC).
Timeline
Senior Claims Specialist
Guardian Life Insurance Company
01.2013 - Current
Customer Service Representative
MassMutual Financial Group
08.2008 - 01.2013
Bachelor of Arts - Communications
Westfield State University
Associate of Arts - Liberal Arts
Holyoke Community College
Associate Life and Health Claims Designation (ALHC).
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